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Indian J Ophthalmol. 2019 Nov;67(11):1870-1872. doi: 10.4103/ijo.IJO_237_19.

New superior modified fornix-based twin-site phacotrabeculectomy.

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Department of Glaucoma, Centre for Sight, L V Prasad Eye Institute, Banjara Hills, Hyderabad, India.
VST Centre for Glaucoma, L V Prasad Eye Institute, Banjara Hills, Hyderabad, India.


Phacotrabeculectomy is the preferred surgical management of coexisting visually significant cataract and moderate to advanced glaucoma. We report the surgical technique of a new modified fornix-based separate-site phacotrabeculectomy, with mitomycin C (MMC) application, in both primary open angle and angle closure glaucoma. In this new separate-site technique, both phaco and filtration are accommodated superiorly, side by side, hence called twin-site. This was achieved in an efficacious and safe manner with sparing of limbal stem cells without compromising safety. It is not only MMC-compatible but also has a low incidence of wound leak. The technique has no adverse consequence on the survival of the bleb, and we achieved complete success in 79.2% and total success in 93.1% in 130 eyes of 117 patients, in the intermediate term. Furthermore, the time taken for this separate-site surgical technique is comparable to published one-site procedures.


Fornix-based; phacotrabeculectomy; separate-site phacotrabeculectomy; twin-site phacotrabeculectomy


Conflict of interest statement

There are no conflicts of interest.

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